Social implications of rheumatic diseases
More details
Hide details
Submission date: 2016-04-15
Final revision date: 2016-04-28
Acceptance date: 2016-05-04
Online publication date: 2016-06-03
Publication date: 2016-04-30
Reumatologia 2016;54(2):73–78
Social consequences of a disease constitute limitations in performing roles relating to working life as well as family and social life caused by the disease, mainly chronic. The aim of the study was to analyze the social consequences of rheumatic diseases in the aspect of disability pensions with respect to incapacity for work and quality of life. The occurrence of rheumatic diseases is related not only to increased risk of different types of organic changes, but above all disability. In Europe almost 50% of persons suffering from diseases of the musculoskeletal system who are currently unemployed were breadwinners. Nearly 60% of them received legal disability status. The loss of work ability is, among other things, the consequence of progressive disability. In Europe 40% of persons suffering from rheumatoid arthritis (RA) had to stop working due to the disease. Most of the persons diagnosed with RA were of working age. It results in the decrease in the quality of life as well as economic difficulties (decreased incomes and increased disease-related costs). In Poland the results of the analysis of the Social Insurance Institution (ZUS) of first-time disability recognition issued for the purpose of disability pensions in 2014 showed that the incapacity for work was caused by diseases relating to general health condition (65.5%). Diseases of the musculoskeletal system were the cause of partial inability to work of 21.6% of persons who received a disability pension for the first time (as many as 5,349 certificates were issued). Early diagnosis and implementation of effective treatment are the necessary conditions for a patient to sustain activity, both professional and social, which is of crucial importance to reduce the negative effects of the disease.
Anyfanti P, Triantafyllou A, Panagopoulos P, et al. Predictors of impaired quality of life in patients with rheumatic diseases. Clin Rheumatol 2015 Dec 23. [Epub ahead of print].
Branco JC, Rodrigues AM, Gouveia N, et al. Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal: results from EpiReumaPt – a national health survey. RMD Open 2016; 2: e000166.
Oświadczenie Parlamentu Europejskiego w sprawie chorób reumatycznych, 2009/C 285 E/11.
Narodowy Instytut Zdrowia Publicznego – Państwowy Zakład Higieny. Tabele wynikowe Badania Chorobowości Szpitalnej Ogólnej. http://www.statystyka.medstat.... [Access: 15.01.2016].
Scott DL, Wolfe F, Huizinga TW. Rheumatoid arthritis. Lancet 2010; 376: 1094-1108.
Dean LE, Jones GT, Macdonald AG, et al. Global prevalence of ankylosing spondylitis. Rheumatology (Oxford) 2014; 53: 650-657.
Baillet A, Gossec L, Carmona L, et al. Points to consider for reporting, screening for and preventing selected comorbidities in chronic inflammatory rheumatic diseases in daily practice: a EULAR initiative. Ann Rheum Dis 2016; 75: 965-973.
Gryglewicz J, Kosowicz M, Olesińska M, et al. Toczeń rumieniowaty układowy w Polsce. Ogólnopolskie Stowarzyszenie Młodych z Zapalnymi Chorobami Tkanki Łącznej „3majmy się razem”, Warszawa 2012.
Tobiasz-Adamczyk B. Wybrane elementy socjologii zdrowia i choroby. Wydawnictwo Uniwersytetu Jagiellońskiego, Kraków 2000.
Listing J, Kekow J, Manger B, et al. Mortality in rheumatoid arthritis: the impact of disease activity, treatment with glucocorticoids, TNFα inhibitors and rituximab. Ann Rheum Dis 2015; 74: 415-421.
Ubóstwo ekonomiczne w Polsce w 2014 r. Główny Urząd Statystyczny, Warszawa: 2015. stat.gov.pl/download/gfx/portalinformacyjny/pl/.../ubostwo_2014.pdf [Access: 5.04.2016].
Tłustochowicz M, Śliwczyński A, Iltchev P, et al. Juvenile idiopathic arthritis morbidity rate in rural and urban areas of Poland 2008–2012. Ann Agric Environ Med 2015; 22: ICID: 1185780.
Minden K, Niewerth M, Listing J. The economic burden of juvenile idiopathic arthritis-results from the German paediatric rheumatologic database. Clin Exp Rheumatol 2009; 27: 863-869.
World Health Organization http://www.who.int/en/ [Access: 7.04.2016].
Główny Urząd Statystyczny. Raport z wyników. Narodowy Spis Powszechny Ludności i Mieszkań 2011. Warszawa 2012.
Ochrona zdrowia w gospodarstwach domowych w 2013 roku. Główny Urząd Statystyczny. Warszawa 2014.
Murray CJ, Vos T, Lozano R, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2197-223.
Grygielska J. Ocena wybranych dziedzin życia w chorobach reumatycznych – analiza porównawcza badań ankietowych. Reumatologia 2008; 46: 230-234.
Fit for Work Europe Patient Survey report. October 2012.
Grygielska J. The impact of rheumatoid arthritis on the economic situation of Polish households. Reumatologia 2013; 51: 348-354.
Zheltoukhova K, Bevan S, Reich A. Zdolni do pracy? Choroby układu mięśniowo-szkieletowego a rynek pracy w Polsce. Fit for Work Europe, 2011.
Musculoskeletal Disorders and the European Workforce: The Facts. Fit for Work Europe, 2012.
Bank Światowy. Europe 2020 Poland. Fueling Growth and Competitiveness in Poland Through Employment, Skills, and Innovation. Overview. World Bank Human Development and Private and Financial Sector Development Departments, Washington 2011.
Tasiemski T, Angiaszwili-Biedna N, Wilski M. Assessment of objective and subjective quality of life in people with rheumatoid arthritis – Preliminary study. Ortopedia, Traumatologia, Rehabilitacja 2009; 4: 346-359.
Bevan S, Passmore E, Mahdon M. Fit For Work? Musculoskeletal Disorders and Labour Market Participation. The Work Foundation, UK 2007.
Łabęcka M, Kania A. Orzeczenia lekarzy orzeczników ZUS o niezdolności do pracy wydane w 2014 roku. Zakład Ubezpieczeń Społecznych, Warszawa 2015.
Carr AJ. Beyond disability: measuring the social and personal consequences of osteoarthritis. Osteoarthritis and Cartilage 1999; 7: 230-238.
da Mota LMH, dos Santos Neto LL, Burlingame RW, et al. Disability and quality-of-life are not influenced by the prevalence of autoantibodies in early rheumatoid arthritis patients – results of the Brasília Cohort. Rev Bras Reumatol 2012; 52: 819-829.
Boyd TA, Bonner A, Thorne C, et al. The Relationship Between Function and Disease Activity as Measured by the HAQ and DAS28 Varies Over Time and by Rheumatoid Factor Status in Early Inflammatory Arthritis (EIA). Results from the CATCH Cohort. Open Rheumatol J 2013; 7: 58-63.
Bujkiewicz S, Thompson JR, Sutton AJ. Use of Bayesian Multivariate Meta-Analysis to Estimate the HAQ for Mapping Onto the EQ-5D Questionnaire in Rheumatoid Arthritis. Value Health 2014; 7: 109-115.
Silva Luna K, Ortiz AM, Patin˜o E, et al. Influence of the structure of mood in the assessment of rheumatoid arthritis through the visual analog scale for pain, HAQ and DAS28. Reumatol Clin 2012; 8: 328-333.
Prais K. Jakość życia chorych na reumatoidalne zapalenie stawów w odniesieniu do sprawności fizycznej i stanu psychicznego. Ann Acad Med Stetenensis 2007; 53: 72-82.
Lapsley HM, March LM, Tribe KL, et al. Living with rheumatoid arthritis: expenditures, health status, and social impact on patients. Ann Rheum Dis 2002; 61: 818-821.
Brooks PM. Impact of osteoarthritis on individuals and society: how much disability? Social consequences and health economic implications. Curr Opin Rheumatol 2002; 14: 573-577.
Uhlig T, Loge JH, Kristiansen IS, et al. Quantification of reduced health-related quality of life in patients with rheumatoid arthritis compared to the general population. J Rheumatol 2007; 34: 1241-1247.
Kanecki K, Tyszko P, Wisłowska M, et al. Preliminary report on a study of health-related quality of life in patients with rheumatoid arthritis. Rheumatol Int 2013; 33: 429-434.
Bugajska J, Brzosko M, Jędryka-Góral A, et al. Psychological stress in rheumatoid arthritis patients: a comparative Polish–German study. Autoimmun Rev 2010; 9: 211-215.
Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.